| NPI | 1255835054 |
|---|---|
| Doing Business As | PERFORMANCE ORTHOPEDICS |
| Entity Type | Organization |
| Authorized Contact | WILLIAM C KOSTMAN Physician/Owner 314-317-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 113686) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2023-08-15 |